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The law requires the payment of a user fee for determination letter requests such as an application for recognition of taxexempt status. Download Multi-Court PACER Fee Exemption Request Form (pdf).Governmental entities remain exempt from paying application fees. If you meet the requirements and would like to apply for an exemption from payment of the renewal fee, complete the application below. 21 Exemption from fees. If you don't have health coverage, you may have to pay a fee. You can get an exemption in certain cases. To claim an exemption you must complete the below form and send it to the Client Security Fund, P.O. Box 1379, Hartford CT 06143-1379. To apply for temporary exemption(s), complete this section. Is there a special form I have to use to make a FOIA request?